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HomeMy WebLinkAboutNCS00727_2023Permit_Initial2023 Permit and Registration Atlantic All Pro Septic Tank Service Inc. is hereby issued a Septage Management Firm Permit, STATE,, Permit Number NCS-00727 o and registered as aD E -�� Septage Management Firm ��en� f� w� nmental Ouallty NORTH CAROLINA (PUMPER) Environmental Quality in the State of North Carolina. This permit to operate a Septage Management Firm is issued to the above named person, business or entity alone and is not transferable to any other person, business or entity. Firm operation shall be in accordance with the provisions of N.C. General Statute 130A-291.1 - 130A-291.3, Title 15A of the N.C. Administrative Code 13B .0800 et.seq., conditions of the permit, and representations made in the application and accompanying documents for a permit. The permit holder is authorized to discharge septage only at the locations(s) listed below: 1. Septage Land Application Site, SLAS-67-05 2. Septage Detention or Treatment Facility, SDTF-67-05, SDTF-67-14 This permit does not entitle the permit holder to operate a Septage Land Application Site, a Septage Detention or Treatment Facility, or any other solid waste management facility not specified herein. Failure to operate as permitted may result in the Department suspending or revoking this permit, initiating action to enjoin the unpermitted operation, imposing administrative penalties, or invoking any other remedy as provided in Chapter 130A, Article 1, part 2 of the North Carolina General Statutes. This permit and registration expires on December 31, 2023. Digitally signed by Wm Perry Wm Perry Sugg Sugg 110:39 39— 050'00 6 Perry Sugg, Environmental Compliance Branch Head For questions regarding this form or the online application process, please contact Jeffrey Bullard (919-707-8285) or Chester Cobb (919-707- 8283). Firm Info Firm name* Atlantic All Pro Septic Tank Service Inc. The "Firm name" must be exactly as it is shown on your vehicle(s). Septage Management Firm permit number (NCS #) NCS-00727 Enter the five digits following the NCS # Street address of office* Street Address 2032 Belgrade-Swansboro Road Address Line 2 City State / Province / Region Maysville NC Postal / Zip Code Country 28555 United States County* Onslow Mailing address same as street address of office?* • Yes No Phone* Fax 910-3302854 Email* lindammelville@gmail.com Owner Info Firm owner's name* Linda Melville Mailing address same as street address of office?* • Yes No Phone* Fax 9103303053 Operator Info Firm operator's name* Firm operator's title Linda Melville Owner Mailing address same as street address of office?* 0 Yes No Phone* Fax 9103303053 Type and amount of septage pumped in the last 12 months Amount in gallons* Domestic 2,122, 000 Portable Toilet Waste 0 Grease (Restaurant) 80,000 Treatment Plant 0 Industrial/Commercial 0 North Carolina counties of operation List each county you plan to do business in: * Onslow, Jones, Carteret and Craven Vehicle Info Do you plan to operate pumper vehicles?* • Yes No "I certify, under penalty of law, that the pumper vehicle or vehicles listed in the submitted permit application meets the requirements for safe and sanitary transportation of septage as required by 15A NCAC 13B .0835(a) and vehicle lettering as required by 15A NCAC .0835(b). Furthermore, I also certify that a log is maintained of each septage pumping event as required by 15A NCAC 13B .0836(a). I am aware that there significant penalties for false certification including the possibility of fine and imprisonment." Signature Date* 11/3/2022 Title* Onwer Choose how to add vehicle descriptions* • Add vehicles individually Upload List Pumper Vehicles Usage* License Tag #* Vehicle Identification #* Tank Capacity* Domestic Septage YA119690 IHGTMKHHN679454078 2,000 Domestic Septage YA91531 IFDYW90695VA65950 3,500 Septage Disposal Method For each method, indicate whether you plan to use it by checking yes or no. Approved wastewater treatment plant* Yes • No Septage Land Application Sites (SLAS) • Yes No If you are not the permit holder for the septage land application site, you must have a signed land application authorization form for each site. SLAS #* Expiration Date* Authorization SLAS-67-05 12/31/2022 Septage Detention or Treatment Facility (SDTF) * • Yes No If you are not the permit holder for the septage detention/treatment facility, you must have a signed detention/treatment authorization form for each site. SDTF #* Expiration Date* Authorization SDTF-67-14 10/1/2027 Other disposal method* Yes • No Septage Management Firm Operator Training Completed Date* Hours* 6/25/2022 4 Location* New Bern Training Sponsored or Provided by* NC Pumper Group & NC Portable Toilet Group Septage Land Application Site Operator Training Completed Date Hours 6/25/2022 3 Location New Bern Training Sponsored or Provided by NC Pumper Group & NC Portable Toilet Group Registration Type^ Select one* Registered Portable Sanitation Firm Registered Septage Management Firm • Registered Portable Sanitation and Septage Management Firm Comments and Notes Comments or notes Certif cation Statement I certify that the information and representations in this application for a permit are true, complete, and accurate to the best of my knowledge and belief. I am aware that a permit may be suspended or revoked upon a finding that its issuance was based upon incorrect or inadequate information that materially affected the decision to issue the permit and that there are criminal penalties for knowingly making a false statement, representation, or certification. Signature Date 11/3/2022 07:53:49 PM Print Name* Linda Melville Title* Owner of Atlantic All Pro Septic NC SEPTAGE MANAGEMENT FIRM Recertification of Pumper Vehicle(s) Septage Firm Permit #: NCS- Number of Pumper Vehicles:_ CERTIFICATION: "I certify, under penalty of law, that the pumper vehicle or vehicles listed in the submitted permit application meet the requirements for safe and sanitary transportation of septage as required byl5A NCAC 13B .0844 (a) and vehicle lettering as required by 15A NCAC 13B .0844 (b). I also certify that a log is maintained of each septage pumping event as required by 15A NCAC 13B .0839 (a). I am aware that there are significant penalties for false certification including the possibility of fine and imprisonment." Signat (Signature of company official required) L or\&, MA Print Name It I t 1),0 -JL-� Date C)G� I L � CK. NO. / s61 DATE t z2 �$oo. Oa S:►Solid_Wastekda1septagelformslPumper Vehicles Cetification.doc AUTHORIZATION TO DISCHARGE SEPTAGE AT A SEPTAGE LAND APPLICATION SITE PERMITTED TO SOMEONE OTHER THAN YOURSELF (This form is used by a land application site permit holder to indicate that permission has been given to a permitted Septage Management Firm to land apply septage on the permit holders land application site.) (Site Operator) (,W� f Je - S,'wynr�s � o c3 Mns v, ((t (Operator Address) do hereby authorize: A4 I c, 4� t a4s S-Ck L Ls`nA—h(Aee IV, (Owner of Septage Management Firm) NCS# t-ti'7� 1 (Name of Septage Management Firm) I—T-0 C.. (Septage Management Firm Address) O �� S 1,I-s to use septage disposal site # (P-76— for the disposal of 2� Co-)) !!�gallons of septage* in 20AS Date: I I I '�- %� Signed r (Site Operator) * As defined in G.S.130-A-290(a)(32). The site will be operated in accordance with 15A NCAC 13B .0800 - Septage Management Rules Return the properly completed form to: North Carolina Department of Environmental Quality Division of Waste Management Solid Waste Section 1646 Mail Service Center Raleigh, NC 27699-1646 AUTHORIZATION TO DISCHARGE SEPTAGE AT A SEPTAGE TREATMENT OR STORAGE FACILITY PERMITTED TO SOMEONE OTHER THAN YOURSELF (This form is used by a detention or treatment facility permit holder to indicate that permission has been given to a permitted Septage Management Firm to discharge septage into the permit holders detention or treatment facility.) ads (Facility Operator) Operator) (Operator Address) do hereby authorize: _ t V NA\ (Owner of Septage Management Firm) P I C- f O C" A-n V- NCS # I J , Tate f Sept �,Qll liagement irm) Se Address of Septage Management Firm) I '�Q to utilize septage detention or treatment facility # septage * 1, 7-1 q � q-63" 5-105 F for the treatmeneor storage of in 2. The facility will be operated in accordance with the Septage Management Rules ** Date: ( 1 I ( Z * As defined in G.S. 130A-290(a)(32) ** As defined in 15A NCAC 13B .0800 Signed (Facility Operator) Return the properly completed form to: North Carolina Department of Environmental Quality Division of Waste Management Solid Waste Section 1646 Mail Service Center Raleigh, NC 27699-1646 G zx n� �a �n a �z M> Ma z az O C Q M o 0m = z a m U] � O 1V "' mz 0� �p �m > M o a 2 y �° w = r g -1>n C Czo �. n oM'U � > Q � n 3m r t.• �' n n ` m -1 3 "'� O li m��O nQ- 0 OZ Z pm>z O m �' I N p� M M -i C rr • z zo < C m M r m ~C aj m v C. ,o, m 1"" Z Z n O .. ..� �� 3 z -� ., � Q r n -1Z n1 o�O z� C Now z 0 .. ou z 0 z� �a c n 3 � � N m O � Z L1 N z �a b c Z O f►i ' 1 n m -� z N o � zi a 0lV m 0 � W❑ v r a� aTZ ; 2 v>0 Ut T o >pZ �. n .. C `Z Z -� 0 0(n M 3 D Tr O m p Z Z O N 0 r N N C m Z Z m C !'. z° d . j m ;u r 'z > O Z m � ° r Gi Z� � 00 0 T "" z Z a C Z "u G)